The impact of person-centered care on pain control and experiences of trauma patients in the emergency department: a clinical trial study

IF 1.8 4区医学 Q2 NURSING

International Emergency Nursing Pub Date : 2025-09-27 DOI:10.1016/j.ienj.2025.101685

Nesa Khademi , Mohammad Gholami , Behzad Moradi , Ayat Ghasemi , Yaser Mokhayeri , Hamid Taheri

{"title":"The impact of person-centered care on pain control and experiences of trauma patients in the emergency department: a clinical trial study","authors":"Nesa Khademi , Mohammad Gholami , Behzad Moradi , Ayat Ghasemi , Yaser Mokhayeri , Hamid Taheri","doi":"10.1016/j.ienj.2025.101685","DOIUrl":null,"url":null,"abstract":"<div><h3>Background</h3><div>Although person-centered care is a fundamental aspect of nursing, its effective implementation in acute healthcare settings remains challenging. The current study aimed to determine the impact of person-centered care on pain control and the experiences of trauma patients in the emergency department (ED).</div></div><div><h3>Methods</h3><div>This randomized clinical trial included 88 trauma patients admitted to the ED, who were allocated via block randomization into two groups: the intervention group (n = 44) and the control group (n = 44). The intervention group received person-centered care focusing on two components: 1) pain management and 2) therapeutic communication/trauma-informed care. The control group received routine emergency care. Outcomes were measured using the Numerical Rating Scale (NRS) for pain, the Pain Management Satisfaction Scale (PMSS), and the Accident and Emergency Department Questionnaire (AEDQ). Data were analyzed using STATA-14 software, with Repeated Measure and paired t-tests applied for statistical analysis.</div></div><div><h3>Results</h3><div>The results showed no statistically significant difference in pain intensity during triage between the two groups (P = 0.091). However, upon discharge from the ED, the mean scores for pain management satisfaction and patient experiences were significantly higher in the intervention group (22.61 and 20.88, respectively) compared to the control group (8.40 and 39.99, respectively) (P < 0.001).</div></div><div><h3>Conclusion</h3><div>The findings suggest that incorporating principles of person-centered care such as patient participation, attention to preferences, and nurse-led pain management during triage, can enhance satisfaction and foster positive experiences among trauma patients in the ED.</div></div>","PeriodicalId":48914,"journal":{"name":"International Emergency Nursing","volume":"83 ","pages":"Article 101685"},"PeriodicalIF":1.8000,"publicationDate":"2025-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"International Emergency Nursing","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S1755599X25001168","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"NURSING","Score":null,"Total":0}

引用次数: 0

Abstract

Background

Although person-centered care is a fundamental aspect of nursing, its effective implementation in acute healthcare settings remains challenging. The current study aimed to determine the impact of person-centered care on pain control and the experiences of trauma patients in the emergency department (ED).

Methods

This randomized clinical trial included 88 trauma patients admitted to the ED, who were allocated via block randomization into two groups: the intervention group (n = 44) and the control group (n = 44). The intervention group received person-centered care focusing on two components: 1) pain management and 2) therapeutic communication/trauma-informed care. The control group received routine emergency care. Outcomes were measured using the Numerical Rating Scale (NRS) for pain, the Pain Management Satisfaction Scale (PMSS), and the Accident and Emergency Department Questionnaire (AEDQ). Data were analyzed using STATA-14 software, with Repeated Measure and paired t-tests applied for statistical analysis.

Results

The results showed no statistically significant difference in pain intensity during triage between the two groups (P = 0.091). However, upon discharge from the ED, the mean scores for pain management satisfaction and patient experiences were significantly higher in the intervention group (22.61 and 20.88, respectively) compared to the control group (8.40 and 39.99, respectively) (P < 0.001).

Conclusion

The findings suggest that incorporating principles of person-centered care such as patient participation, attention to preferences, and nurse-led pain management during triage, can enhance satisfaction and foster positive experiences among trauma patients in the ED.

查看原文本刊更多论文

以人为本的护理对急诊科创伤患者疼痛控制和体验的影响：一项临床试验研究

尽管以人为本的护理是护理的一个基本方面，但其在急性医疗保健环境中的有效实施仍然具有挑战性。本研究旨在确定以人为本的护理对急诊科创伤患者疼痛控制和经历的影响。方法将88例急诊外伤患者随机分为干预组（n = 44）和对照组（n = 44）。干预组接受以人为本的护理，重点关注两个方面：1)疼痛管理和2)治疗性沟通/创伤知情护理。对照组接受常规急诊护理。结果采用疼痛数值评定量表（NRS）、疼痛管理满意度量表（PMSS）和急诊科问卷（AEDQ）进行测量。数据分析采用STATA-14软件，统计分析采用Repeated Measure和配对t检验。结果两组患者分诊时疼痛强度差异无统计学意义（P = 0.091）。然而，在出院时，干预组疼痛管理满意度和患者体验的平均得分（分别为22.61分和20.88分）明显高于对照组（分别为8.40分和39.99分）（P < 0.001）。结论在分诊过程中，结合以人为本的护理原则，如患者参与、关注偏好和护士主导的疼痛管理，可以提高创伤患者在急诊科的满意度，并培养积极的体验。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

International Emergency Nursing NURSING-

CiteScore

3.20

自引率

11.10%

发文量

期刊介绍： International Emergency Nursing is a peer-reviewed journal devoted to nurses and other professionals involved in emergency care. It aims to promote excellence through dissemination of high quality research findings, specialist knowledge and discussion of professional issues that reflect the diversity of this field. With an international readership and authorship, it provides a platform for practitioners worldwide to communicate and enhance the evidence-base of emergency care. The journal publishes a broad range of papers, from personal reflection to primary research findings, created by first-time through to reputable authors from a number of disciplines. It brings together research from practice, education, theory, and operational management, relevant to all levels of staff working in emergency care settings worldwide.